<![CDATA[Objective: To reduce the risk of varicoses in primigravida by
wearing elastic stockings with mechanical compression.
Method: A prospective study was performed in a randomized
single blinded trial with analysis of variance and repeated measures.
The study was done at The Obstetrics and Gynecology Department
Immanuel Hospital Bandung, with subjects obtained from the Obstetrics
outpatient clinic during the period of May 2008 to March
2009. This study consisted of a population of 66 primigravidas randomly
allocated in to 2 groups, 34 women in control group and 32
women in study group. Women in the study group were instructed
to wear elastic stockings, while the control group was not. Measurements
of veins dilatation were carried out using a Color Duplex Ultrasound.
Results: The 12 week examination didnât show any significant
change on left femoral veins diameters in both groups. Examination
at 34 weeks gestational age showed significant changes on left
femoral veins in study group and control group (subsequently 0,83
± 0,07 cm and 1,02 ± 0,35 cm). It also happened on examination at
2 weeks post-partum. The incidence of reflux was found only in the
study group at sapheno-femoral junction in 6 of 34 women.
Conclusion: Mechanical compression provide protective effect
from the development of varicoses shown by the reduced incidence
in developing reflux in blood flow in saphenous-femoral junction,
in addition to minimal dilatation of the lower limbs and pelvic veins.
[Indones J Obstet Gynecol 2010;34-1:7-11]
Keywords: varicoses; pregnancy; endothelial injury; saphenousfemoral
junction; reflux; mechanical compression]]>
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